Provider Demographics
NPI:1225677891
Name:HEATH CHIROPRACTIC & WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:HEATH CHIROPRACTIC & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-530-5555
Mailing Address - Street 1:14 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALUNGA
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1127
Mailing Address - Country:US
Mailing Address - Phone:717-530-5555
Mailing Address - Fax:
Practice Address - Street 1:14 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1127
Practice Address - Country:US
Practice Address - Phone:717-530-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty